Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Mexico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sandia Pediatric Dentistry (NPI 1497008312)

Field	Value
Entity Type	Organization
Organization	Sandia Pediatric Dentistry
Address	7007 Wyoming Blvd Ne Ste C-2
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 16, 2012

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	10,130	$30	$314.2K
D2930	N/A	1,820	$120	$209.3K
D0150	Comprehensive oral evaluation – new or established patient	4,320	$40	$151.3K
D0120	Periodic oral evaluation - established patient	6,520	$20	$143.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,810	$20	$140.5K
D0230	Intraoral - periapical each additional radiographic image	8,540	$10	$111.1K
D0220	Intraoral - periapical first radiographic image	7,890	$10	$86.8K
D0272	N/A	3,710	$20	$74.2K
D2391	Resin‑based composite – one surface, posterior	1,310	$50	$71K
D0274	N/A	1,650	$30	$47.8K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

Sandia Pediatric Dentistry — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	32	80	870	$120	$456.1K
D2392	Post 2 surface resin‑based composite	118	250	430	$70	$143.3K
D1120	Prophylaxis–child	35	380	330	$30	$137.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	82	200	290	$70	$91.7K
D9230	N/A	42	120	310	$30	$90.7K
D0150	Comprehensive oral evaluation – new or established patient	64	440	380	$30	$89.3K
D2391	Resin‑based composite – one surface, posterior	56	230	250	$60	$86.8K
D1208	Topical application of fluoride - excluding varnish	88	410	390	$20	$73K
D1351	Sealant - per tooth	79	140	500	$20	$72.4K
D0120	Periodic oral evaluation - established patient	33	320	250	$20	$70K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Sandia Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M

Sandia Pediatric Dentistry — Billing Profile & Reimbursement Data

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Sandia Pediatric Dentistry — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References